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1094-C Laser Transmittal:
1094-C Laser Transmittal
Item #: TF5500
Form to submit information about individuals who enroll in a qualified health plan through the Health Insurance Marketplace.

QuantityPriceSavings
25$55.50-
50$69.7537%
100$84.0062%
150$111.0067%
200$127.5071%
250$151.5073%
300$162.0076%
350$189.0076%
400$213.7576%
450$240.0076%
500$266.2576%


Product Details
  • Form consists of 3 pages, 2 sided, black/black
  • combined pages 2 & 3 into one backer
  • Use for summary transmittal record for form 1095-C
    • Issued by: employers. Accompanies 1095-C when mailed to IRS.



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